Provider Demographics
NPI:1003387986
Name:MCCRAY, ASHLEY LAURYN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LAURYN
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 PHELPS DR
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-1621
Mailing Address - Country:US
Mailing Address - Phone:203-843-6730
Mailing Address - Fax:
Practice Address - Street 1:90 PHELPS DR
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-1621
Practice Address - Country:US
Practice Address - Phone:203-843-6730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0101851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical